GoodStanding

Nursing home report

Midlands Living Center L L C

Council Bluffs, IA · Medicare-certified · 94 beds

In good standing
For-profit
4 of 5 overall

Midlands Living Center L L C has an overall 4 out of 5 stars, with strong quality measures (5 stars) and staffing (4 stars), though its health inspection is lower at 3 stars. Reported nurse staffing is 3.82 hours per resident per day, below the federal benchmark of 4.1, and there were $0 in fines in the last 24 months.

Facility ratings

Health inspections

Staffing

3.8161 hrs/resident/day

Quality measures

Last inspection: January 8, 2026Penalties, last 24 months: $0

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8161.

Staffing detail

Registered nurses
0.60
Licensed practical nurses
0.81
Nurse aides
2.40
Weekend nursing
3.32

Hours per resident per day.

Total staff turnover: 44%
Registered nurse turnover: 10%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

9.6%Worsening

Residents with a fall causing major injury

6.7%Worsening

Residents with pressure ulcers (bedsores)

4.4%Worsening

Residents with a urinary tract infection

0.9%Steady

Residents who lost too much weight

1.1%Steady

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

16.5%Steady

Residents whose ability to walk got worse

12.2%Worsening
Show all measures

Long-stay residents on antianxiety or sleep medication

7.8%Steady

Short-stay residents newly given an antipsychotic

1%Improving

Residents with a long-term catheter

1.5%Worsening

Residents with new or worsening incontinence

30.5%Worsening

Residents with depressive symptoms

0%Steady

Long-stay residents given the seasonal flu vaccine

100%Steady

Long-stay residents given the pneumonia vaccine

96.4%Worsening

Short-stay residents given the seasonal flu vaccine

73.1%Steady

Short-stay residents given the pneumonia vaccine

80.7%Improving

What the inspectors found

The home failed to safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited January 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 842 — 42 CFR §483.70 — S/S: E

The home failed to properly train staff about dementia care and how to recognize and report abuse, neglect, and exploitation. Cited December 2023 — limited pattern, potential for harm.

View the original federal record

F-Tag 943 — 42 CFR §483.95 — S/S: E

The home failed to ensure residents who could safely take their own medicines were allowed to self-administer them. Cited January 2026 — isolated incident, potential for harm.

View the original federal record

F-Tag 554 — 42 CFR §483.10 — S/S: D

The nursing home failed to provide services that met professional standards of quality. Cited January 2026 — isolated incident, potential for harm.

View the original federal record

F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: D

The home failed to provide appropriate care to help a resident maintain or improve movement and mobility. Cited January 2026 — isolated incident, potential for harm.

View the original federal record

F-Tag 688 — 42 CFR §483.25(c) — S/S: D

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 5 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. INSPECTION

    Health inspection found 5 health deficiencies.

    See what inspectors found

Operator & ownership

Ownership
For profit - Limited Liability company
Occupancy
69.7 residents on an average day (74% of 94 beds)
Resident voice
Resident council
Medicare history
Certified for 24 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.